Dr. Kevin O Easley
Gynecologic Oncologist
12855 North Forty Dr Suite 200
St Louis
, Missouri 63141
Dr. Kevin O Easley
Gynecologic Oncologist
12855 North Forty Dr Suite 200
St Louis
, Missouri 63141
(314) 628-1220
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Kevin O Easley
- 12855 North Forty Dr Suite 200
- St Louis, MO
- Zip : 63141
- Fax : (314) 628-1220
- Phone : (314) 628-1210
Second Address
- Dr. Kevin O Easley
- 12855 North Forty Dr Suite 200
- St Louis, MO
- Zip : 63141
- Fax : (314) 628-1220
- Phone : (314) 628-1210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 105787 | MO |
National Provider Identifier
| NPI | 1154385417 |
|---|---|
| Provider Name | Dr. Kevin O Easley |
| First Address | St Louis, MO 63141 |
| Second Address | St Louis, MO 63141 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 02/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110257 | BCBS (01) | MO |
| 207950916 | (05) | MO |
| 332932 | HEALTHLINK (01) | |
| 3605461 | MEDICARE COMPLETE (01) | |
| 431787580 | GOLDEN RULE (01) | |
| 431787580 | GREAT WEST (01) | |
| 431787580 | UNITED HEALTHCARE (01) | MO |
| 4915117001 | CIGNA (01) | |
| 54920 | CMR (01) | |
| 54920 | GROUP HEALTH PLAN (01) | |
| C83613 | (02) | |
| C83613 | MERCY (01) | |
| P00007539 | RR MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.